54.198.247.239
<?xml version="1.0" encoding="UTF-8"?>
<RegistrationXML>
  <ReferenceId>6198b1b4</ReferenceId>
  <PlanId>1</PlanId>
  <DeductibleAmount>250</DeductibleAmount>
  <MaximumLimit>60000</MaximumLimit>
  <StartDate>08/23/2014</StartDate>
  <EndDate>09/02/2014</EndDate>
  <DestinationPlan>Czech Republic</DestinationPlan>
  <NoOfApplicants>2</NoOfApplicants>
  <PersonalInfo>
    <Applicants>
  <Applicant>
    <Firstname>Samel</Firstname>
    <Middlename>S</Middlename>
    <Lastname>Chun</Lastname>
    <Age>27</Age>
    <Dob>06/22/1987</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
  <Applicant>
    <Firstname>Erica</Firstname>
    <Middlename>A</Middlename>
    <Lastname>Hollander</Lastname>
    <Age>26</Age>
    <Dob>08/21/1988</Dob>
    <SportsRider>no</SportsRider>
  </Applicant>
</Applicants>
  </PersonalInfo>
  <DepartureInfo>
    <HomeCountryDepartureDate>08/23/2014</HomeCountryDepartureDate>
  </DepartureInfo>
  <ApplicantAddress>
    <ResidenceAddress>
      <Address1>3514 28th Ave</Address1>
      <Address2>Apt 55</Address2>
      <Country>United States</Country>
      <State>New York</State>
      <City>Astoria</City>
      <Postcode>11103</Postcode>
    </ResidenceAddress>
    <CitizenshipCountry/>
    <Email>both@samerica.us</Email>
    <Phone>
      <Home>9253304495</Home>
    </Phone>
  </ApplicantAddress>
  <Beneficiary>
    <AdDBeneficiaryName></AdDBeneficiaryName>
    <AdDBeneficiaryRelationship></AdDBeneficiaryRelationship>
    <UniqueIdentifierType/>
    <UniqueIdentifierNumber/>
    <IssuingCountry/>
  </Beneficiary>
  <CourierCharges>No</CourierCharges>
  <PaymentMethod>
    <Creditcard>
      <CreditcardType>American Express</CreditcardType>
      <CreditcardNumber>379749000121009</CreditcardNumber>
      <NameonCreditcard>Samel S Chun</NameonCreditcard>
      <CreditcardExpirationMonth>8</CreditcardExpirationMonth>
      <CreditcardExpirationYear>2019</CreditcardExpirationYear>
      <CreditcardAmount>18.7</CreditcardAmount>
      <CreditcardCodeNumber>8249</CreditcardCodeNumber>
    </Creditcard>
  </PaymentMethod>
</RegistrationXML>

------------Response---------------
dd8435ca
227739e0
ARS-01-0017827
ARS-01-0017828
<?xml version="1.0" encoding="UTF-8"?><RegistrationRes><ReferenceId>6198b1b4</ReferenceId><LoginUrl>https://www.azimuthrisk.com/client_login.php</LoginUrl><PolicyDetails><PolicyNumber>ARS-01-0017827</PolicyNumber><UserName>dd8435ca</UserName><Password>dd8435ca</Password></PolicyDetails><PolicyDetails><PolicyNumber>ARS-01-0017828</PolicyNumber><UserName>227739e0</UserName><Password>227739e0</Password></PolicyDetails></RegistrationRes>